La Luz Provider Agency Llc
LBN: La Luz Provider Agency Llc
La Luz Provider Agency Llc is an health care organization with primary practice located at 501 Franklin Ave Unit 6 , Santa Fe NM 87501-3617. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist. Other Service Providers / Specialist is the primary health care specialty.
La Luz Provider Agency Llc can be contacted via phone (505) 660-3484, or through Sciacca, Cheryl via phone (505) 660-3484.
Contact Information
Primary practice address
501 Franklin Ave Unit 6
Santa Fe NM 87501-3617
Phone: (505) 660-3484
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Other Service Providers / Specialist | 174400000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist | 221700000X |
Profile Details
| NPI number | 1245692102 |
|---|---|
| LBN Legal business name | La Luz Provider Agency Llc |
| DBA Doing business as | |
| Authorized official | Sciacca, Cheryl LPCC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 22nd, 2016 |
| Last updated | Nov 14th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245692102 | NPPES |
| New Mexico | MEDICAID | 96838272 |
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